A Cross-sectional Study on the Prevalence of Cervical Dysplasia Among Women With Female Genital Mutilation/Cutting (2021)

This study is a Descriptive research regarding All FGM/C with the following characteristics:

Author(s): Martinez AA,Malinverno MU,Manin E,Petignat P and Abdulcadir J.
FGM/C Type(s): All
Health area of focus: None.

Objective: The aim of the study was to assess the prevalence of cervical dysplasia among migrant women with female genital mutilation/cutting (FGM/C) at a specialized clinic in Switzerland.
Study Population: Women who attended a specialized FGM/C clinic at the Geneva University Hospitals between 2010 and 2016
Findings: Three hundred sixty records were reviewed and 338 women were included. The average age was 33 years (SD = 7.47 years). Most women were from Eritrea and Somalia (n = 204,60.4%) and had FGM/C type III (n = 188,55.6%). A total of 12.4% (n = 42) of the patients had abnormal Pap smears: 1.5% (n = 5) with atypical squamous cells of undetermined significance (ASCUS) with high-risk human papillomavirus (HPV),7.9% (n = 27) with low-grade squamous intraepithelial lesion (LSIL),and 2.9% (n = 10) with high-grade squamous intraepithelial lesion or higher (HSIL +). Of the 37 patients with dysplasia,22 (59.4%) completed follow-up and 15 (40.5%) received incomplete follow-up.Conclusions
The prevalence of high-grade squamous intraepithelial lesion+ among migrant women with FGM/C is high (2.95%) compared with the general Swiss population (0.58%). Follow-up for cervical dysplasia must be improved by increasing provider knowledge of this patient population and by addressing barriers to care.

Geographical coverage
Region(s):Western Europe
Country(ies):Switzerland

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